Mario Bass
Case Manager/Care Coordinator in West Memphis, AR. Individual provider (NPI-1).
NPI number1134581515
StatusActive
Last updated in NPPESMar 24, 2016
Details
- NPI
- 1134581515
- Entity type
- Individual (NPI-1)
- Name
- Mario Bass
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2016
- Last updated
- Mar 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
413 W Tyler AveWest Memphis, AR 72301-4149
Phone 870-733-1200
Mailing address
3012 Turman DrJonesboro, AR 72404-8998
Phone 870-819-0200
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All 130 Case Manager/Care Coordinator providers in West Memphis · All 851 providers in West Memphis
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